| NPI | 1609439108 |
|---|---|
| Former Name | ENEDELIA AGUALLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374700000X Technician (Licence: CA A3327766) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2023-09-12 |