Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | D0063988 | MD |
Y | 2080P0205X | Pediatric Endocrinologist | D0063988 | MD |
N | 2080P0205X | Pediatric Endocrinologist | MD036232 | DC |
NPI | 1437245040 |
---|---|
Provider Name | Elizabeth A. Parker |
First Address | Annapolis, MD 21401-3870 |
Second Address | Annapolis, MD 21401-3870 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 21/06/2019 |