NPI | 1124287776 |
---|---|
Former Name | ELIZABETH ANN GATES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD040371) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD040371) |
Enumeration Date | 2008-06-08 |
Last Update Date | 2023-10-02 |