| 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 |