NPI | 1720658313 |
---|---|
Former Name | ELSA ACOSTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95032132) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2340973) |
Enumeration Date | 2021-06-28 |
Last Update Date | 2025-05-20 |