| NPI | 1447388699 |
|---|---|
| Former Name | ALICIA JANE GIMENEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: TX 582525) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: TX 582525) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-07-08 |