NPI | 1447864020 |
---|---|
Former Name | MONICA ANNE DISIPIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP022431) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP022431) |
Enumeration Date | 2020-09-01 |
Last Update Date | 2025-05-31 |