NPI | 1992189567 |
---|---|
Former Name | ELIZABETH ANN CHASE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA AP61206090) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60929557) |
Enumeration Date | 2015-07-14 |
Last Update Date | 2024-11-18 |