NPI | 1376074377 |
---|---|
Former Name | DEBORAH LYNN SOLIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2025008490) |
Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MO 2004007030) |
Enumeration Date | 2017-03-22 |
Last Update Date | 2025-05-01 |