| NPI | 1275913808 |
|---|---|
| Former Name | ELENA SWICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA3410) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY TC141) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2025-02-11 |