| NPI | 1801841960 |
|---|---|
| Former Name | ELIZABETH ANN TYRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD208773) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A65070) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2022-05-02 |