| NPI | 1699166991 |
|---|---|
| Former Name | ELIZABETH A LEVACY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX S2031) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2019-11-15 |