| NPI | 1841603917 |
|---|---|
| Former Name | ELISE BOWMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209010248) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP013050) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2017-03-16 |