NPI | 1891128989 |
---|---|
Former Name | ELIZABETH ANNE LAFONTANT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209011089) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 9296928) |
Enumeration Date | 2013-08-13 |
Last Update Date | 2017-07-19 |