NPI | 1578330130 |
---|---|
Former Name | SELENA ARREGUIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 14810-33) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209.030184) |
Enumeration Date | 2023-12-05 |
Last Update Date | 2025-03-31 |