| NPI | 1962165852 |
|---|---|
| Former Name | ELIZABETH ACEVEDO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MS 905302) |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2022-04-26 |