NPI | 1639849284 |
---|---|
Former Name | BELEN LISET ANZALDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95017318) |
Enumeration Date | 2021-09-15 |
Last Update Date | 2021-09-15 |