NPI | 1255424636 |
---|---|
Former Name | FLORDELIZA VENERACION MOYA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 1017572) |
Enumeration Date | 2006-09-30 |
Last Update Date | 2007-07-08 |