NPI | 1811290943 |
---|---|
Former Name | ELLEN R AUSTERMANN PACE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2010037013) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11008768) |
363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704387291) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209008864) | |
Enumeration Date | 2010-12-12 |
Last Update Date | 2022-08-11 |