NPI | 1730316480 |
---|---|
Former Name | ELIZABETH CATHERINE ELLIOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 64325) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.099339) |
Enumeration Date | 2009-06-19 |
Last Update Date | 2022-02-15 |