NPI | 1679077358 |
---|---|
Former Name | ELIZABETH ERIN MESSMORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2017042344) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209024767) |
363LF0000X Nurse Practitioner, Family (Licence: MO 2017042344) | |
363LF0000X Nurse Practitioner, Family (Licence: IL 209024767) | |
Enumeration Date | 2018-03-19 |
Last Update Date | 2023-03-22 |