Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 0101238118 | VA |
N | 207RP1001X | Pulmonary Disease | 0101238118 | VA |
Y | 207RS0012X | Sleep Medicine | 0101238118 | VA |
NPI | 1336357078 |
---|---|
Provider Name | Elizabeth B Foreman |
First Address | Baltimore, MD 21279-0777 |
Second Address | Charlottesville, VA 22911 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2007 |
Last Update Date | 03/07/2018 |