| NPI | 1780647644 |
|---|---|
| Former Name | ELIZABETH M CARLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME126786) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD067665L) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2021-01-28 |