NPI | 1881975522 |
---|---|
Former Name | ELIZABETH CLYMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2011-09-08 |
Last Update Date | 2018-08-31 |