NPI | 1013275007 |
---|---|
Former Name | ELIZABETH J ROBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209009513) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209009513) |
Enumeration Date | 2012-04-26 |
Last Update Date | 2024-11-12 |