NPI | 1245447192 |
---|---|
Former Name | ELIZABETH EDMANDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 284) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC APRN 284) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2020-10-13 |