| NPI | 1750496873 |
|---|---|
| Other Name | JIM LEROY EHLERS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 70917-030) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 51-033) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2012-03-22 |