| NPI | 1700495181 |
|---|---|
| Former Name | ELIZABETH ANN COURTNEY BUENROSTRO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: OH 0027250) |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-07-30 |