| NPI | 1518589027 |
|---|---|
| Former Name | ELIANA MARIE VAEZAZIZI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 62608) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2024-08-29 |