Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 2306604032 | VA |
NPI | 1043770811 |
---|---|
Provider Name | Elizabeth Andrews |
First Address | Richmond, VA 23238-5423 |
Second Address | Richmond, VA 23238-5423 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2019 |
Last Update Date | 20/03/2019 |