| NPI | 1528876307 |
|---|---|
| Former Name | MA THERESE SUNGA MALIT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95033412) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 686315) |
| Enumeration Date | 2024-12-24 |
| Last Update Date | 2024-12-24 |