| NPI | 1861455685 |
|---|---|
| Former Name | ELIZABETH ANN CHILDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001174178) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC RN964379) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC000147) | |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2007-07-08 |