NPI | 1245758416 |
---|---|
Former Name | ELIZABETH ANN WEINDORFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.008565) |
Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: IL 209.008565) |
Enumeration Date | 2017-09-07 |
Last Update Date | 2023-06-05 |