NPI | 1083055602 |
---|---|
Former Name | BETSY LUCILLE ELDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.14716) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.14716-NP) |
Enumeration Date | 2013-07-11 |
Last Update Date | 2024-07-16 |