| NPI | 1467438101 |
|---|---|
| Former Name | ELIZABETH ANN FARMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 31289) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 31289) |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2016-07-21 |