| NPI | 1386089241 |
|---|---|
| Former Name | ELIZABETH RODRIGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CT 005328) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2022-02-11 |