NPI | 1356974984 |
---|---|
Former Name | MISHA DENISE GARCIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202204515NP-PP) |
Enumeration Date | 2020-02-21 |
Last Update Date | 2023-12-23 |