NPI | 1043674138 |
---|---|
Former Name | ELIZABETH MCINERNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209014215) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.014215) |
Enumeration Date | 2016-04-05 |
Last Update Date | 2018-03-30 |