| NPI | 1528953957 |
|---|---|
| Former Name | INGRID TILIANA MONTALVOHOMAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: SD R059637) |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2025-06-09 |