NPI | 1932534229 |
---|---|
Former Name | ELAINE A SHERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NM PA2013-0056) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 3270) |
Enumeration Date | 2013-09-05 |
Last Update Date | 2023-08-15 |