| NPI | 1255339370 |
|---|---|
| Other Name | MINNA LYNN MANALO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024172064) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: DC RN966963) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2022-10-12 |