NPI | 1356750335 |
---|---|
Former Name | ELIZABETH A. BERNHARDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110004798) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD CO5407) |
Enumeration Date | 2014-08-04 |
Last Update Date | 2022-03-10 |