NPI | 1700133782 |
---|---|
Former Name | ELIZABETH R PARMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA055510) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA055510) |
Enumeration Date | 2012-08-09 |
Last Update Date | 2022-06-28 |