| NPI | 1891042461 |
|---|---|
| Former Name | ELIZABETH A FELTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: TN 9462) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: AL 5960C1) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2015-04-12 |