| NPI | 1932352457 |
|---|---|
| Former Name | ALIZABETH GRACE NEU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085006876) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601007572) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2023-11-27 |