| NPI | 1457426702 |
|---|---|
| Former Name | ELIZABETH BRECKHEIMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MA PA1862) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: GA 04709) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2018-06-05 |