| NPI | 1871052068 |
|---|---|
| Former Name | ELLEN ESCARENO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP139519) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP139519) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2024-02-01 |