| NPI | 1174972582 |
|---|---|
| Former Name | ELIZABETH CATHERINE VANDEVENTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD18338) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 291945) |
| 207R00000X Internal Medicine (Licence: MA 267116) | |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2025-09-15 |