NPI | 1518018886 |
---|---|
Former Name | THELMA CAVAZOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP111641) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP111641) |
Enumeration Date | 2007-01-15 |
Last Update Date | 2024-10-24 |