| NPI | 1164079828 |
|---|---|
| Former Name | IVY ELIZABETH REGISTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0012661) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 104266) |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2024-10-10 |