| NPI | 1174725162 |
|---|---|
| Former Name | JESSIE LYN PANGILINAN BARTOLOME |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A102737) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2007-06-03 |
| Last Update Date | 2021-10-14 |