| NPI | 1952359416 |
|---|---|
| Former Name | ELIZABETH ANN TIPTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL RN3265172) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL RN3265172) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2016-04-15 |