NPI | 1245875426 |
---|---|
Former Name | JENNIFER LOUISE ELLIOTT - THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA8781) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA061885) |
Enumeration Date | 2019-11-12 |
Last Update Date | 2024-12-11 |