| NPI | 1730743881 |
|---|---|
| Former Name | ELLE KORENAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019023375) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2019023375) |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2021-02-17 |