| NPI | 1366029159 |
|---|---|
| Former Name | ELIZABETH MARIE ESCOBAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 32100) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301517789) |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2026-05-07 |