NPI | 1053627869 |
---|---|
Former Name | JOE MARIE MAGANTO JOSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: LA 206398) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301096030) |
207R00000X Internal Medicine (Licence: LA 206398) | |
Enumeration Date | 2010-08-31 |
Last Update Date | 2021-09-02 |