Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 1449 | VI |
Y | 207Q00000X | Family Doctor | A66505 | CA |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 1449 | VI |
NPI | 1538173141 |
---|---|
Provider Name | Elizabeth Flower |
First Address | Windsor, CA 95492-6885 |
Second Address | Windsor, CA 95492 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2006 |
Last Update Date | 14/09/2018 |