NPI | 1013211572 |
---|---|
Former Name | LUZ ELENA DEGISI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2008019678) |
Enumeration Date | 2010-12-27 |
Last Update Date | 2011-04-07 |