NPI | 1821576984 |
---|---|
Former Name | ELIZABETH GILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176480) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: VA 0001249704) |
Enumeration Date | 2018-08-01 |
Last Update Date | 2020-05-08 |