NPI | 1659696003 |
---|---|
Former Name | ELIZABETH JEAN AMBELANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: TX AP112604) |
Additional Taxonomies | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: TX 644855) |
Enumeration Date | 2010-03-29 |
Last Update Date | 2023-04-17 |