NPI | 1588398093 |
---|---|
Former Name | ELIZABETH WESTOVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3017708) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 025526) |
Enumeration Date | 2022-07-11 |
Last Update Date | 2024-10-21 |