| NPI | 1164060984 |
|---|---|
| Former Name | ELIZABETH MARIE DOWNS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MD 5110) |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2021-03-04 |