| NPI | 1508209669 |
|---|---|
| Former Name | ELISSA TEST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0065068) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX S2169) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2026-04-30 |