NPI | 1083637243 |
---|---|
Former Name | ELIZABETH FELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R137433) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R137433) |
Enumeration Date | 2006-07-26 |
Last Update Date | 2008-05-19 |