| NPI | 1932366812 |
|---|---|
| Former Name | ELIZABETH MARIE SALISBURY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: WI 73411) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 73411) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2021-01-05 |