| NPI | 1588074462 |
|---|---|
| Former Name | ELIZABETH MARIE STROM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 74459) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A142919) |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2022-08-31 |