| NPI | 1528626561 |
|---|---|
| Former Name | ANN-ELISE BERTRAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA 312802) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2022-09-06 |