NPI | 1437451796 |
---|---|
Former Name | ELIZABETH BLAIRE COLLINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 15239) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 15239) |
Enumeration Date | 2010-11-18 |
Last Update Date | 2024-11-18 |