| NPI | 1447720974 |
|---|---|
| Former Name | ELIZABETH A GRANADA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA PA60910425) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60910425) |
| 363AS0400X Physician Assistant, Surgical (Licence: WA 60910425) | |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2021-04-19 |