| NPI | 1972047942 |
|---|---|
| Former Name | ELIZABETH CLAIRE FOWLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 22013) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 175915) |
| Enumeration Date | 2016-12-11 |
| Last Update Date | 2022-03-23 |