| NPI | 1043429657 |
|---|---|
| Former Name | ELIZABETH T DOUGLASS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 202113304NP-PP) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 202113304NP-PP) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2024-09-10 |