NPI | 1467942045 |
---|---|
Former Name | ANDREA NICOLE BARAJAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 818395) |
Enumeration Date | 2018-05-18 |
Last Update Date | 2023-09-21 |