NPI | 1215779269 |
---|---|
Former Name | ELIZABETH L PURCELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.030198) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.470968) |
363L00000X Nurse Practitioner (Licence: IL 209.030198) | |
Enumeration Date | 2024-06-11 |
Last Update Date | 2024-10-17 |