| NPI | 1740514017 |
|---|---|
| Former Name | ELIZABETH ANNE LANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704387775) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-1914) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F335919) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F381924) | |
| Enumeration Date | 2009-09-19 |
| Last Update Date | 2024-08-13 |