| NPI | 1720172539 |
|---|---|
| Former Name | DEENA ELIZALDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71001310A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 622215) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2022-07-22 |