| NPI | 1285032490 |
|---|---|
| Former Name | ELIZABETH MARIE NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F402013-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 617448-1) |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2016-08-04 |