| NPI | 1922077445 |
|---|---|
| Former Name | ELIZABETH E MENOUSEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 1176) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 073000) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2019-12-18 |