| NPI | 1093285314 |
|---|---|
| Former Name | ELSA NELIDA REYNA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2019-03-20 |