NPI | 1316346752 |
---|---|
Former Name | ELIZABETH M BARNES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 3404) |
Enumeration Date | 2014-08-21 |
Last Update Date | 2020-02-24 |