NPI | 1497787840 |
---|---|
Other Name | MABLE JEANNETTE ELKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-043339) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP3111422) |
Enumeration Date | 2006-07-07 |
Last Update Date | 2019-04-17 |