NPI | 1780816728 |
---|---|
Former Name | CRYSTAL HERRERA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9207806) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9207806) |
Enumeration Date | 2009-08-10 |
Last Update Date | 2022-06-28 |