NPI | 1043286743 |
---|---|
Former Name | JANE ESTHER ELLEFSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN 90033) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MN R1084685) |
Enumeration Date | 2006-02-23 |
Last Update Date | 2013-06-19 |