| NPI | 1538396924 |
|---|---|
| Former Name | BEATRIZ CARRILLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP113106) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP113106) |
| 163W00000X Registered Nurse (Licence: TX 658407) | |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2021-09-28 |