| NPI | 1609222777 |
|---|---|
| Former Name | VERONICA MANGAZA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171000000X Military Health Care Provider (Licence: GA RN230812) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN230812) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2022-04-07 |