| NPI | 1598149601 |
|---|---|
| Former Name | ELIZABETH SHOLDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MD C0005822) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD C05822) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2022-09-14 |