| NPI | 1700180460 |
|---|---|
| Former Name | CECILIA ELIAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 703657) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 703657) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2018-05-16 |