NPI | 1528690682 |
---|---|
Former Name | ELIZABETH ANN MYERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA13265) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX PA13265) |
Enumeration Date | 2020-02-06 |
Last Update Date | 2023-07-11 |