| NPI | 1023097623 |
|---|---|
| Former Name | ELANA M LEVY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME89879) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ARNP9203677) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2009-01-12 |