NPI | 1679631733 |
---|---|
Former Name | LEIGH ANNE ELSTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60201698) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 00100-00387) |
363AM0700X Physician Assistant, Medical (Licence: NM PA-2013-0041) | |
Enumeration Date | 2006-12-04 |
Last Update Date | 2022-06-14 |