| NPI | 1225821960 |
|---|---|
| Former Name | KRISTINE MAE INOCENCIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95035221) |
| Enumeration Date | 2025-05-26 |
| Last Update Date | 2025-05-26 |