| NPI | 1578608634 |
|---|---|
| Former Name | ELIZABETH B LARNED |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: VA 0110003326) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CT 001861) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2010-07-27 |