| NPI | 1497486518 |
|---|---|
| Former Name | ELENA SHALON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 280124) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 293053) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC F06220676) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 280124) | |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2024-05-07 |