NPI | 1619379690 |
---|---|
Former Name | ELIZABETH LUCY MILES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704259288) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP129716) |
Enumeration Date | 2014-09-21 |
Last Update Date | 2022-04-18 |