NPI | 1295304772 |
---|---|
Former Name | EUSONNE JOY DELOSLADO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0997427-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95014838) |
Enumeration Date | 2021-06-21 |
Last Update Date | 2023-08-15 |