| NPI | 1306228952 |
|---|---|
| Former Name | ELIZABETH PAIGE OUTLAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9115135) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2024-07-01 |