NPI | 1255995544 |
---|---|
Former Name | KAREN MANGUBAT UY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95015190) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R188364) |
Enumeration Date | 2019-04-23 |
Last Update Date | 2021-09-14 |