NPI | 1912366691 |
---|---|
Former Name | ELIZABETH ANN SHEDLOSKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024183743) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1014872) |
Enumeration Date | 2016-02-23 |
Last Update Date | 2023-10-25 |