| NPI | 1740848019 |
|---|---|
| Former Name | ELIZABETH LOUISE KROLL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA 312690) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0008930) |
| 363AS0400X Physician Assistant, Surgical (Licence: CO PA.0008930) | |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2025-01-14 |