| NPI | 1467448241 |
|---|---|
| Former Name | ANGELITA R SAN AGUSTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: TX E5215) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX E5215 - TX MED EXAM) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2010-09-01 |