| NPI | 1679945208 |
|---|---|
| Former Name | HILARY ELLINGSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-06472) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085005670) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2016-07-07 |