NPI | 1467693275 |
---|---|
Former Name | SARA ELIZABETH ELDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 1809) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: OK 1809) |
Enumeration Date | 2009-03-09 |
Last Update Date | 2017-04-25 |