| 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 |