NPI | 1467584987 |
---|---|
Other Name | ELIZABETH C FONTAO CALANA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9104506) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA-C 18695) |
Enumeration Date | 2007-03-10 |
Last Update Date | 2016-06-28 |