NPI | 1285030403 |
---|---|
Former Name | ELIZABETH HAMRICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX ap143224) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041369345) |
363LF0000X Nurse Practitioner, Family (Licence: IL 209012053) | |
363LF0000X Nurse Practitioner, Family (Licence: GA RN257942) | |
Enumeration Date | 2014-11-16 |
Last Update Date | 2019-11-12 |