NPI | 1235363102 |
---|---|
Former Name | ELISABETH MARIE ESTESS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 18027) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 693752) |
Enumeration Date | 2009-05-07 |
Last Update Date | 2010-08-11 |