| NPI | 1992469944 |
|---|---|
| Former Name | ELIZABETH ANNE RODA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2282217) |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2024-11-13 |