| NPI | 1427567049 |
|---|---|
| Former Name | JACQUELYNN CAMACLANG BANABAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95007291) |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2025-07-28 |