| NPI | 1144560111 |
|---|---|
| Former Name | ELIZABETH ANNE SORG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 18188) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 18188) |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2017-10-23 |