NPI | 1942729348 |
---|---|
Former Name | ABIGAIL ELIZABETH NELSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1069822) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2017033624) |
Enumeration Date | 2017-09-17 |
Last Update Date | 2024-09-16 |