NPI | 1548509102 |
---|---|
Former Name | ELIZABETH ANNE KOVACS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 21725) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 584459) |
Enumeration Date | 2013-02-01 |
Last Update Date | 2015-02-03 |