NPI | 1932199262 |
---|---|
Former Name | ELIZABETH C PATERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601004696) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 2586) |
Enumeration Date | 2005-10-27 |
Last Update Date | 2016-06-09 |