| NPI | 1306304902 |
|---|---|
| Former Name | KRYSTAL LAUREN SALAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1053028) |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2026-05-14 |