| NPI | 1003127697 |
|---|---|
| Former Name | ELIZABETH RODNEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101257672) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME114025) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2025-08-07 |