| NPI | 1134453160 |
|---|---|
| Former Name | ELIZABETH DONNA NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 115) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R165035-2) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2021-11-23 |