| NPI | 1538363668 |
|---|---|
| Former Name | ELIZABETH ERIN COSTELLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD453705) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 045443) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-11-19 |