NPI | 1720450026 |
---|---|
Former Name | ELIZABETH ANN KANE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012695A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209013297) |
Enumeration Date | 2015-10-26 |
Last Update Date | 2022-08-03 |