| 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 |