| NPI | 1124435805 |
|---|---|
| Former Name | ELIZABETH ANNE MANOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173585) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 16126NP) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2017-02-03 |