| NPI | 1033143367 |
|---|---|
| Former Name | ELIZABETH SKINNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 288899) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS009192L) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2022-02-09 |