NPI | 1710134408 |
---|---|
Former Name | ELIZABETH M HULSEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA02115) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME PA605) |
Enumeration Date | 2008-08-25 |
Last Update Date | 2014-12-18 |