| NPI | 1124386461 |
|---|---|
| Former Name | ELIZABETH ANN SPRADLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA 470895) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A127879) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2021-12-19 |