NPI | 1790379261 |
---|---|
Former Name | ELIZABETH WEHRHEIM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 8071) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2029539) |
Enumeration Date | 2021-02-25 |
Last Update Date | 2021-03-11 |