| NPI | 1619423480 |
|---|---|
| Former Name | ELNORA WEATHERSPOON JIMERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201809398NP-PP) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA AP60903125) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2019-03-29 |