| NPI | 1811300247 |
|---|---|
| Former Name | ELIZABETH LAPHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02005803A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WV 3053) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2020-12-01 |