| NPI | 1164684254 |
|---|---|
| Former Name | STORMY MENDOZA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 117236) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 659602) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2024-10-31 |