| NPI | 1144782053 |
|---|---|
| Former Name | ELIZABETH ANNE DARSAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 72409) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2022-09-01 |