| NPI | 1609022417 |
|---|---|
| Former Name | CYHTNIA MARIE ELDRIDGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085003840) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2009020443) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2011-06-10 |