| NPI | 1205817327 |
|---|---|
| Former Name | ELIZABETH PEARL PARKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: PA MD431891) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 213338) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2014-11-24 |