| NPI | 1932503877 |
|---|---|
| Former Name | ELRI TEN BRINK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO 5569) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 51985) |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2019-01-29 |