| NPI | 1962921023 |
|---|---|
| Former Name | ELANA CHLOE O'HARA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO 6036) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-09-10 |
| Last Update Date | 2022-10-07 |