| NPI | 1821082694 |
|---|---|
| Former Name | ELIZABETH PEREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 03184) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 02002350A) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2019-06-12 |