NPI | 1861961997 |
---|---|
Former Name | BAILEY ELIZABETH ERNSTES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 3095) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 10811) |
Enumeration Date | 2018-11-19 |
Last Update Date | 2022-04-06 |