NPI | 1053926923 |
---|---|
Former Name | ELISA ACEVEDO HINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95015273) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61530719) |
363L00000X Nurse Practitioner (Licence: GA RN254581) | |
Enumeration Date | 2020-09-08 |
Last Update Date | 2024-10-30 |