| NPI | 1689730764 |
|---|---|
| Former Name | ELIZABETH LEE CARROLL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: WI 48887) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 48887-020) |
| Enumeration Date | 2006-12-31 |
| Last Update Date | 2014-01-10 |