| NPI | 1073834693 |
|---|---|
| Former Name | ELIZABETH LEONORA MARSHALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 89028) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL L.3316) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2022-01-29 |