NPI | 1912980582 |
---|---|
Former Name | LIZBET D. LANGSETH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036110530) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 52872) |
Enumeration Date | 2005-11-28 |
Last Update Date | 2021-03-11 |