NPI | 1851368393 |
---|---|
Former Name | ELIZABETH LYNN FOSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 005169) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP15730) |
363L00000X Nurse Practitioner (Licence: HI APRN1054) | |
Enumeration Date | 2006-03-03 |
Last Update Date | 2022-04-29 |