| NPI | 1063147452 |
|---|---|
| Former Name | VANESSA YVONNE AQUINO SANTIAGO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95021704) |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2024-06-03 |