NPI | 1982223707 |
---|---|
Former Name | ELIZABETH PIRCON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 10814-33) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: IL 041440381) |
Enumeration Date | 2020-04-12 |
Last Update Date | 2023-06-26 |