| NPI | 1992052625 |
|---|---|
| Former Name | ELIZABETH B. VON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KS 1501535) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 002396) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2022-03-31 |