| NPI | 1336230580 |
|---|---|
| Former Name | ELIZABETH HALON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 1282023) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2019-03-25 |