NPI | 1093138422 |
---|---|
Former Name | ALEJANDRA MORENO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 555127) |
Enumeration Date | 2014-01-21 |
Last Update Date | 2018-03-17 |