| NPI | 1770582090 |
|---|---|
| Former Name | ELIZABETH P CAPP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL ARNP1990142) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 1990142) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2015-01-14 |