| NPI | 1679032387 |
|---|---|
| Former Name | MARIA TERESA BALUIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5011891) |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2021-01-18 |