| NPI | 1205482403 |
|---|---|
| Former Name | MARISA CHRISTINE VALDES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11003263) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 10150) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11003263) | |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2023-05-05 |