| NPI | 1780437590 |
|---|---|
| Former Name | FALYN NICHOLE DIAZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61540990) |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2024-04-10 |