| NPI | 1386365401 |
|---|---|
| Former Name | ELIZABETH VANDENBROUCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NM 68003) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM 68003) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 041470039) | |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2023-01-26 |