NPI | 1356747398 |
---|---|
Other Name | ELANA QUIRK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95012446) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 6108-33) |
Enumeration Date | 2014-11-18 |
Last Update Date | 2019-08-26 |