| NPI | 1760855761 |
|---|---|
| Former Name | THEATRINA ROSE MENDOZA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CA 691036) |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2015-11-12 |