| NPI | 1144739111 |
|---|---|
| Former Name | ELIZABETH FARRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN211195) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN211195) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: GA RN211195) | |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2018-10-22 |