| NPI | 1821597915 |
|---|---|
| Former Name | SARA GRACE SAUCEDO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP135784) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2021-08-23 |