NPI | 1467523902 |
---|---|
Former Name | JENNIFER J PEREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OR 201250185) |
Enumeration Date | 2006-11-13 |
Last Update Date | 2012-11-19 |