| NPI | 1588255574 |
|---|---|
| Former Name | ELISE CORY RODRIGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11016007) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5014029) |
| 163WX0200X Registered Nurse, Oncology (Licence: NC 247724) | |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2021-12-10 |