| NPI | 1467806273 |
|---|---|
| Former Name | ELISSA KALIVAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00691800) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F430956-1) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2024-08-22 |