| NPI | 1447820600 |
|---|---|
| Former Name | ELIZABETH R WEITZEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 25132) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SC 25132) |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2023-12-11 |