| NPI | 1649688912 |
|---|---|
| Former Name | ELIZABETH ANN STAFFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R882671) |
| Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: MS R882671) |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2020-08-13 |