NPI | 1538275458 |
---|---|
Other Name | ELYSE BETH WEISS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25mb08794500) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2004005141) |
207Q00000X Family Medicine (Licence: MI 5101014848) | |
207Q00000X Family Medicine (Licence: NY 250241) | |
Enumeration Date | 2006-08-22 |
Last Update Date | 2013-06-26 |