NPI | 1326416082 |
---|---|
Former Name | ESTHER DENISE PEREA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM CNP-02747) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 192948) |
Enumeration Date | 2015-09-10 |
Last Update Date | 2023-08-22 |