| NPI | 1306536545 |
|---|---|
| Former Name | MARIA LIZA GODOY LAURETA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704188063) |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2024-06-03 |