| NPI | 1285812685 |
|---|---|
| Former Name | ELAINE EWING VER HALEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA05606) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 1717) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2025-10-16 |