NPI | 1720472533 |
---|---|
Former Name | EUNICE LLORENTE ONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 23841) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 23841) |
Enumeration Date | 2015-03-19 |
Last Update Date | 2017-02-02 |