NPI | 1417209222 |
---|---|
Former Name | ELIZABETH GORDON KELLEY-SWIFT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000017047) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000184357) |
Enumeration Date | 2012-10-04 |
Last Update Date | 2016-07-14 |