| NPI | 1598799421 |
|---|---|
| Former Name | ELIZABETH MAHONY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 2774269-1205) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID MC-1795) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2022-12-28 |