| NPI | 1164785259 |
|---|---|
| Former Name | ELIZABETH HARMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WA MD60489936) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301106946) |
| 207Q00000X Family Medicine (Licence: WA ML60294632) | |
| 207N00000X Dermatology (Licence: MI 4301106946) | |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2021-05-18 |