| NPI | 1467737189 |
|---|---|
| Former Name | ELIZABETH ELLEN CERRENTANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO 0992400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 209008690) |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2020-09-15 |