| NPI | 1073306007 |
|---|---|
| Former Name | MAYRA ALVAREZ PONCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 2025020629) |
| Enumeration Date | 2025-05-23 |
| Last Update Date | 2026-06-23 |