| NPI | 1811213853 |
|---|---|
| Former Name | ANN ELIZABETH FOWLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 875444) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MS R875444) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2024-11-14 |