| NPI | 1558646489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY M. ELSER Nurse Practitioner 754-200-6074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN 9294970) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: FL APRN 9294970) |
| 367A00000X Advanced Practice Midwife (Licence: FL APRN 9294970) | |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2013-07-01 |