| NPI | 1629580337 |
|---|---|
| Former Name | KATHLEEN MENDOZA LEGASPI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 95006955) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95006955) |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2023-12-20 |