| NPI | 1447244793 |
|---|---|
| Former Name | JAN AQUILINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS 8854) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MB11729700) |
| 207Q00000X Family Medicine (Licence: NY 222891) | |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2023-02-21 |