| NPI | 1235305483 |
|---|---|
| Former Name | ELISA MARI TANAKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 53903) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2021-12-29 |