| NPI | 1215260260 |
|---|---|
| Former Name | ELIZABETH DOROTHY VANDERPOOL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: NY 104718-1) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2009-09-09 |