| NPI | 1255375689 |
|---|---|
| Former Name | ELISA T. RUKSZNIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME125969) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME 16013) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2024-01-16 |