| NPI | 1619723756 |
|---|---|
| Former Name | ELIZABETH BROGDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 824182) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV 824182) |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-09-02 |