| NPI | 1508096256 |
|---|---|
| Former Name | THERESA DELA CRUZ MANGAHAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 70102) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60238357) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2024-02-20 |