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 |