| NPI | 1033644091 |
|---|---|
| Former Name | ELAINE FOWLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F309636-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 399551) |
| 163W00000X Registered Nurse (Licence: NY 618996) | |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2024-04-09 |