NPI | 1003224346 |
---|---|
Former Name | ELIZABETH HERD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: FL 9207047) |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: AL 1-179730) |
Enumeration Date | 2014-07-30 |
Last Update Date | 2024-02-01 |