| NPI | 1508041005 |
|---|---|
| Former Name | MIRIAM E ELLENBURG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 24937) |
| Additional Taxonomies | 364SC0200X Clinical Nurse Specialist, Critical Care Medicine (Licence: FL APRN9345176) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2021-08-12 |