| NPI | 1114635729 |
|---|---|
| Former Name | EMERY JUSTINE MUNOZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1098777) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 300795) |
| Enumeration Date | 2022-11-11 |
| Last Update Date | 2024-02-05 |