NPI | 1023295102 |
---|---|
Former Name | CORAZON EMERITA IGNACIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5005612) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.10528-NP) |
Enumeration Date | 2008-01-30 |
Last Update Date | 2012-05-22 |