NPI | 1598074718 |
---|---|
Former Name | ELIZABETH A NAZAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-08658) |
363AM0700X Physician Assistant, Medical (Licence: SC 3957) | |
Enumeration Date | 2010-10-05 |
Last Update Date | 2024-06-21 |