NPI | 1447899679 |
---|---|
Former Name | OLIVIA MONTERROSA ORTIZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP142742) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP142742) |
Enumeration Date | 2020-01-06 |
Last Update Date | 2025-07-23 |