| NPI | 1093583833 |
|---|---|
| Former Name | PATRICIA ANN TIU SAMANIEGO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209.028844) |
| Enumeration Date | 2023-12-12 |
| Last Update Date | 2024-01-18 |