NPI | 1275699662 |
---|---|
Former Name | ELIZABETH BORNTRAGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 232044) |
Enumeration Date | 2006-12-29 |
Last Update Date | 2024-04-23 |