NPI | 1194399071 |
---|---|
Former Name | ELIZABETH ANN HOPPENSTEADT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.023116) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209023116) |
363LF0000X Nurse Practitioner, Family (Licence: IL 209-023116) | |
Enumeration Date | 2021-05-16 |
Last Update Date | 2024-06-19 |