| NPI | 1659675064 | 
|---|---|
| Former Name | ELISHA DIANE DOWDY | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 873696)  | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS R873696)  | 
| Enumeration Date | 2010-12-28 | 
| Last Update Date | 2021-06-02 |