| NPI | 1477249423 |
|---|---|
| Former Name | ELIZABETH CAROLINE POPP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX V7836) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2025-04-22 |