NPI | 1336484153 |
---|---|
Former Name | ELIZABETH E CHANEY-RICHARDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11005777) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007668) |
Enumeration Date | 2012-12-05 |
Last Update Date | 2020-05-21 |