NPI | 1710264734 |
---|---|
Former Name | ELIZABETH DELORES DISCOLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: IN 10003068A) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MI 4301099544) |
Enumeration Date | 2011-11-04 |
Last Update Date | 2024-08-28 |