| NPI | 1609573161 |
|---|---|
| Former Name | ELIZABETH FUNK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 14105-33) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2024-10-17 |