| NPI | 1134907637 |
|---|---|
| Former Name | ELIZABETH VICTORIA SPENCER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR 223995) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OK 200663) |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2024-11-14 |