NPI | 1174717375 |
---|---|
Former Name | ELIZABETH MARIE VOSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP04134) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP04134) |
Enumeration Date | 2007-08-30 |
Last Update Date | 2021-09-10 |