NPI | 1497932818 |
---|---|
Former Name | ALLISON R ELENBAAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IL 085-003120) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IL 085-003120) |
Enumeration Date | 2008-01-28 |
Last Update Date | 2019-08-27 |