| NPI | 1346889086 |
|---|---|
| Former Name | ELIZABETH MARIE CAPELLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10002981A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-12-28 |
| Last Update Date | 2021-12-22 |