NPI | 1710345533 |
---|---|
Former Name | JULIE LORRAINE ELLIOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5008362) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5008362) |
163WP0200X Registered Nurse, Pediatrics (Licence: NC 253272) | |
Enumeration Date | 2016-02-08 |
Last Update Date | 2024-08-02 |