NPI | 1285996694 |
---|---|
Former Name | ELIZABETH MARIE ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AL MD.35714) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 183355) |
Enumeration Date | 2012-06-12 |
Last Update Date | 2022-10-17 |