| NPI | 1053789446 |
|---|---|
| Former Name | SUSI ZECENA ORTIZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95031588) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95141591) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2024-08-14 |