| NPI | 1932872686 |
|---|---|
| Former Name | ELIZABETH JACOBSMUHLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV 2889) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA 61188057) |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2024-12-18 |