NPI | 1558483131 |
---|---|
Former Name | ELIZABETH ANN MCKINNIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: TX j1116) |
Enumeration Date | 2007-04-04 |
Last Update Date | 2022-04-21 |