NPI | 1639423452 |
---|---|
Former Name | CHRISTINE PEREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 751054) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP122782) |
Enumeration Date | 2012-10-31 |
Last Update Date | 2023-03-20 |