NPI | 1619129178 |
---|---|
Former Name | THERESA ANN ARMIJO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 7763) |
Enumeration Date | 2008-10-15 |
Last Update Date | 2015-04-03 |