| NPI | 1326233966 |
|---|---|
| Former Name | ELIZABETH MARIA AUGUSTINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NE 27094) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: SD 8616) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: IA 40658) | |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2020-10-05 |