| NPI | 1548740053 |
|---|---|
| Former Name | ELISE CAROLINE BOCKOVEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137784) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP137784) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2026-02-02 |