| NPI | 1316496268 |
|---|---|
| Former Name | ELIZABETH GERSTNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MT MED-PAC-LIC-51473) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MT MED-PAC-LIC-51473) |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2022-02-24 |