| NPI | 1639103237 |
|---|---|
| Former Name | ELIZABETH LARSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: WA AP30003638) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: WA RN00118189) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2023-03-07 |