| NPI | 1710501382 |
|---|---|
| Former Name | ELIZABETH ANNE POTEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IN 12013761A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2020-05-30 |
| Last Update Date | 2022-12-13 |