| 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 |