NPI | 1245409747 |
---|---|
Former Name | ELIZABETH CUDZIL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 029711) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.005072) |
Enumeration Date | 2008-02-28 |
Last Update Date | 2023-08-23 |