NPI | 1851687016 |
---|---|
Former Name | ELIZABETH C CORTIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 83763) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 267784) |
Enumeration Date | 2011-06-24 |
Last Update Date | 2022-05-26 |