| NPI | 1629711841 |
|---|---|
| Former Name | VANESSA K IGNACIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI DOS-2648) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 25593) |
| Enumeration Date | 2022-04-15 |
| Last Update Date | 2026-07-27 |