| NPI | 1053367060 |
|---|---|
| Former Name | ELIZABETH CLINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 000781) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 000781) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2011-08-31 |