NPI | 1790013290 |
---|---|
Former Name | ELISHIA MARIE SPITLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MI 4704246715) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: IL 209010253) |
Enumeration Date | 2009-11-23 |
Last Update Date | 2016-10-14 |