| NPI | 1710904255 |
|---|---|
| Former Name | ELAINE MARIE SOMMERHAUSER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: KS 1500532) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 1338469061) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2011-08-10 |