| NPI | 1518018886 |
|---|---|
| Former Name | THELMA CAVAZOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX AP111641) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX AP111641) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2021-01-15 |