NPI | 1043520141 |
---|---|
Former Name | ELLEN BLAIR STROUPE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AR A03391 ANP) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN APN0000015112) |
Enumeration Date | 2010-10-07 |
Last Update Date | 2023-12-05 |