NPI | 1740061670 |
---|---|
Former Name | LIZZIE BELLE UGANAP TUAZON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NV 812553) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NV 812553) |
Enumeration Date | 2023-10-06 |
Last Update Date | 2024-05-01 |