NPI | 1528006095 |
---|---|
Former Name | GRETCHEN ELENE ELZER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 67156) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN122840) |
363LF0000X Nurse Practitioner, Family (Licence: GA 122840) | |
Enumeration Date | 2006-06-04 |
Last Update Date | 2023-06-15 |