NPI | 1619585528 |
---|---|
Former Name | MORGAN ELIZABETH DUBUC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.008166RX) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY PA2678) |
Enumeration Date | 2020-07-16 |
Last Update Date | 2023-06-06 |