| NPI | 1487806071 |
|---|---|
| Former Name | VICTORIA PUNTANILLA EVANGELISTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA VN198705) |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2008-10-15 |