| NPI | 1376190009 |
|---|---|
| Former Name | TAYLOR ELIZABETH ROUSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C07405) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363AS0400X Physician Assistant, Surgical (Licence: MD C07405) | |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2021-05-24 |