NPI | 1114924362 |
---|---|
Former Name | ESTER R RODRIGUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ AP3945) |
Additional Taxonomies | 103T00000X Psychologist (Licence: AZ AZ3116) |
103TC1900X Psychologist Counseling (Licence: AZ AZ3116) | |
Enumeration Date | 2005-07-01 |
Last Update Date | 2022-07-21 |