NPI | 1306112248 |
---|---|
Former Name | ELIZABETH WINDOM PALMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN107561) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN107561) |
Enumeration Date | 2012-03-26 |
Last Update Date | 2018-07-05 |