| NPI | 1588820161 |
|---|---|
| Former Name | ELIZABETH JEAN MASTERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 54007) |
| Enumeration Date | 2008-08-02 |
| Last Update Date | 2021-03-11 |