| NPI | 1144625815 |
|---|---|
| Former Name | ALICIA YOLANDA PACALA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 6837) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 140303-30) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2022-08-23 |