NPI | 1649783143 |
---|---|
Other Name | MARY JOYCE A LAGATAO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209016350) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.016350) |
Enumeration Date | 2017-11-07 |
Last Update Date | 2024-11-25 |