| NPI | 1568410694 |
|---|---|
| Former Name | ELIZABETH JOY SMALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 210638) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101238998) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2020-04-27 |