| NPI | 1245981208 |
|---|---|
| Former Name | LEZZLIE ANNE GERODIAS ANGBENGCO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95019698) |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2022-01-11 |