| NPI | 1376200675 |
|---|---|
| Former Name | CARISSA-ANN MABBORANG JOAQUIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 138441) |
| Enumeration Date | 2021-11-21 |
| Last Update Date | 2023-09-26 |