NPI | 1750797973 |
---|---|
Former Name | ELIZABETH ASHLEY DOYKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CT 3110) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA6169) |
363A00000X Physician Assistant (Licence: CT 3110) | |
Enumeration Date | 2014-07-08 |
Last Update Date | 2017-07-21 |