NPI | 1235234881 |
---|---|
Former Name | ELIZABETH M ATKISSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA00963) |
Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: WA PA10004638) |
Enumeration Date | 2006-09-14 |
Last Update Date | 2009-09-30 |