| NPI | 1356801286 |
|---|---|
| Former Name | ELIZABETH A KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 67701) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 30261) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2020-08-24 |