NPI | 1235319070 |
---|---|
Former Name | ELIZABETH A FRIES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL me71071) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101051927) |
Enumeration Date | 2007-11-09 |
Last Update Date | 2019-07-22 |