NPI | 1326251240 |
---|---|
Former Name | ELIZABETH ANN HAVEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: TX N5717) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125050959) |
Enumeration Date | 2007-05-07 |
Last Update Date | 2022-02-04 |