| NPI | 1801080072 |
|---|---|
| Former Name | ELIZABETH ANN GRACE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: SD 7152) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2018-10-11 |