| NPI | 1265992739 |
|---|---|
| Former Name | ELAINE MIRABILE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TN 72122) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 100998) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2025-05-01 |