NPI | 1952885865 |
---|---|
Former Name | ELSA ELLENA DURR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209021773) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A117905) |
Enumeration Date | 2018-09-18 |
Last Update Date | 2023-04-03 |