| NPI | 1063943710 |
|---|---|
| Former Name | ELIZABETH ASHLEY MENGIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2020012406) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 226932) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2020-09-18 |