Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0002X | Hospice and Palliative Medicine | 50470 | TN |
Y | 207RX0202X | Medical Oncology | 50470 | TN |
NPI | 1326362989 |
---|---|
Provider Name | Dr. Elizabeth Marie Wulff-Burchfield |
First Address | Westwood, KS 66205 |
Second Address | Westwood, KS 66205-2005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2010 |
Last Update Date | 15/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04-40143 | MEDICAL LICENSE (01) | KS |