NPI | 1457991713 |
---|---|
Former Name | ELIZABETH ANN DURFEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 34236) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 245256) |
376K00000X Nurse's Aide | |
Enumeration Date | 2020-01-14 |
Last Update Date | 2023-08-24 |