| NPI | 1053435412 |
|---|---|
| Former Name | ELIZABETH MCNEILL HEDBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 001000817) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 001000817) |
| 363AM0700X Physician Assistant, Medical (Licence: NC 001000817) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2024-07-03 |