| NPI | 1255977906 |
|---|---|
| Former Name | ABBY JO AGUINAGA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704317555NSA22036) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704317555) |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2022-06-09 |