| NPI | 1174087712 |
|---|---|
| Former Name | ELIZABETH THEODRA CHAMBERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041363072) |
| Additional Taxonomies | 174H00000X Health Educator |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2019-01-28 |