NPI | 1639108293 |
---|---|
Former Name | ELIZABETH ANN MILROY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601004658) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TN PA0000001490) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2023-09-13 |