NPI | 1598280307 |
---|---|
Former Name | ELIZABETH HELEN EPHRAIM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA55503) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.006242) |
Enumeration Date | 2017-08-14 |
Last Update Date | 2022-01-13 |