NPI | 1154984847 |
---|---|
Former Name | MAYRA ALEJANDRA MOHAMA HAMILTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11008119) |
Enumeration Date | 2019-04-17 |
Last Update Date | 2023-11-29 |