NPI | 1497855860 |
---|---|
Former Name | SUSAN MORRIS ELWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN R1233083) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 034053022) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2007-07-08 |