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 |