NPI | 1326098849 |
---|---|
Former Name | ELIZABETH JANE HAYS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0004030) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: GA 4756) |
Enumeration Date | 2006-05-12 |
Last Update Date | 2010-08-23 |