| NPI | 1427706217 |
|---|---|
| Former Name | NADEZHDA PETROVNA VILLALONGO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61398453) |
| Enumeration Date | 2022-03-11 |
| Last Update Date | 2024-10-16 |