| NPI | 1619225281 |
|---|---|
| Former Name | ANNETTE MARY MONTOYA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: UT 218745-3102) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: UT 218745-3102) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2019-02-07 |