| NPI | 1437624327 |
|---|---|
| Former Name | YESENIA BLANCA OLMEDO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-78407-032) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 5378407032) |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2024-04-08 |