NPI | 1942729421 |
---|---|
Former Name | BLAIR ELIZABETH EBERHARDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3012756) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3012756) |
Enumeration Date | 2017-09-15 |
Last Update Date | 2019-04-12 |