| NPI | 1780763250 |
|---|---|
| Former Name | ELIZABETH CROSBY VICKERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: ID M-10382) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ID M-10382) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: UT 5957969-1205) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: ID M-10382) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 35.083015) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WY 7575A) | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-12-02 |