NPI | 1922092618 |
---|---|
Former Name | ELIZABETH ANNE O'CONNOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD433974) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101236284) |
Enumeration Date | 2005-09-08 |
Last Update Date | 2008-05-20 |