| NPI | 1982809877 |
|---|---|
| Former Name | ELIZABETH ALEXIS CHARNOVICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA 134893) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D70758) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2017-07-31 |