| NPI | 1669734117 |
|---|---|
| Former Name | ELIZABETH CEBALLOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 290305-1) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2023-03-07 |