| NPI | 1225495294 |
|---|---|
| Former Name | MELVYN GRACE RABANAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95002765) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95002765) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95002765) | |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2020-04-13 |