| NPI | 1821460734 |
|---|---|
| Former Name | ELIZABETH LEIGH BROSNAHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NM PA2018-0015) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA09488) |
| 363A00000X Physician Assistant (Licence: WA PA60608545) | |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2018-04-27 |