| NPI | 1497785489 |
|---|---|
| Former Name | ELIZABETH A SERVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ ap5059) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AZ AP5059) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2024-02-13 |