| NPI | 1508599663 |
|---|---|
| Former Name | ELIZABETH JENNIFER SOTO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95021337) |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2022-07-29 |