NPI | 1407124282 |
---|---|
Former Name | BEATRICE CORONA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX 670135) |
Enumeration Date | 2011-12-07 |
Last Update Date | 2023-09-28 |