| NPI | 1356690275 |
|---|---|
| Former Name | ELIZABETH JANE DOTTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0006739) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00308200) |
| 363A00000X Physician Assistant (Licence: NY 015906) | |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2023-10-17 |