NPI | 1255862553 |
---|---|
Former Name | ELIZABETH C. RUPP WEIL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95005892) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN95066025) |
Enumeration Date | 2017-03-27 |
Last Update Date | 2017-03-27 |