| NPI | 1750414009 |
|---|---|
| Former Name | ELIZABETH PALENZUELA SUGAPONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA A051630) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-07-08 |