NPI | 1790003903 |
---|---|
Former Name | ELIZABETH ANNE VANMETER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-14355) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-14355) |
363AM0700X Physician Assistant, Medical (Licence: WV 1789) | |
Enumeration Date | 2010-05-12 |
Last Update Date | 2024-10-14 |