| NPI | 1205486131 |
|---|---|
| Former Name | JOCELYN PINOY SISTOSO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95012625) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 630454) |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2019-09-12 |