| NPI | 1487636932 |
|---|---|
| Former Name | ELIZABETH ANN FUNKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 11294) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 413322) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2016-09-30 |