NPI | 1740263755 |
---|---|
Former Name | FLORDELIZA SERRANO TOLENTINO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00155870) |
Enumeration Date | 2005-11-23 |
Last Update Date | 2015-10-14 |