| NPI | 1194181370 |
|---|---|
| Former Name | MA. JANICE LALITHA SERIO AMIHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: AZ AP8366) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: AZ AP8366) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2019-08-21 |