| NPI | 1942586771 |
|---|---|
| Former Name | LIZBETH GASTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9106466) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 2216) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2021-07-09 |