NPI | 1225610132 |
---|---|
Former Name | ALLEN PABILONA ALQUINTO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1048133) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 909365) |
Enumeration Date | 2021-04-21 |
Last Update Date | 2021-12-15 |