NPI | 1639241383 |
---|---|
Former Name | ELIZABETH LYNN SERRELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA G48270) |
Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA G48270) |
207R00000X Internal Medicine (Licence: CA G48270) | |
Enumeration Date | 2006-11-15 |
Last Update Date | 2011-11-08 |