| NPI | 1700866118 |
|---|---|
| Former Name | ELISE SUZANNE TREFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME109095) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: FL ME109095) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2024-07-05 |