| NPI | 1386179414 |
|---|---|
| Former Name | MARIAN BAUTISTA JAVONILLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ 283624) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VA 0024174451) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2024-06-28 |