| NPI | 1144596313 |
|---|---|
| Former Name | ELIZABETH RENAE ANGSTMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R4358) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60488525) |
| Enumeration Date | 2012-03-31 |
| Last Update Date | 2024-03-28 |