NPI | 1659565489 |
---|---|
Former Name | ELIZABETH ANNE NELSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 49572) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 49572) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 49572) | |
Enumeration Date | 2007-09-05 |
Last Update Date | 2016-06-29 |