| NPI | 1437232949 |
|---|---|
| Former Name | MARY ELIZABETH HISATOMI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MD C000333) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CO 3345) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-11-30 |