Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | ARNP2066372 | FL |
NPI | 1003245879 |
---|---|
Provider Name | Mrs. Elizabeth A Gottlieb |
First Address | Boynton Beach, FL 33435-6514 |
Second Address | Boynton Beach, FL 33435-6514 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2013 |
Last Update Date | 02/11/2013 |