| NPI | 1700039427 |
|---|---|
| Former Name | ELIZABETH MARIE TEKULVE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: PA MA053705) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: WV 635) |
| Enumeration Date | 2008-10-25 |
| Last Update Date | 2024-05-31 |