NPI | 1003058348 |
---|---|
Former Name | ANNA TERESA PALAGANAS MENDOZA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 18500) |
Enumeration Date | 2009-04-01 |
Last Update Date | 2021-10-07 |