NPI | 1679092597 |
---|---|
Former Name | ELIZABETH MEARS WARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5020251) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: VA 0024175377) |
Enumeration Date | 2017-09-12 |
Last Update Date | 2024-07-30 |