| NPI | 1366919201 |
|---|---|
| Former Name | BETTY ELMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0994040-NP) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CO APN.0994040-NP) |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2020-08-31 |