NPI | 1891556494 |
---|---|
Former Name | ELIZABETH ASHLEY UPDIKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704262821) |
Enumeration Date | 2024-01-22 |
Last Update Date | 2024-01-22 |