NPI | 1689238792 |
---|---|
Former Name | ELIZABETH SWOPE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3013224) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3013224) |
Enumeration Date | 2019-04-24 |
Last Update Date | 2019-05-14 |