| NPI | 1114477510 |
|---|---|
| Former Name | ELISA DUPUIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11001790) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R210288) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2023-02-24 |