| NPI | 1184316374 |
|---|---|
| Former Name | MARIA ELENA CERVANTES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: IL 041.502587) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.502587) |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2023-05-25 |