| 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 |