NPI | 1578992384 |
---|---|
Former Name | REED ELIZABETH UNDERWOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0992181-NP) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP60400787) |
Enumeration Date | 2013-11-03 |
Last Update Date | 2018-10-16 |