| NPI | 1801831813 |
|---|---|
| Former Name | ELIZABETH ANN XIQUES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MN .) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: AL 1-139411) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: TN APN0000011788) | |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2020-10-05 |