| NPI | 1629307772 |
|---|---|
| Former Name | ELIZABETH ANNE MARTEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NC 001002030) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-02030) |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2016-06-13 |