NPI | 1770774440 |
---|---|
Former Name | JAYNE LORA LAGUTAN OPENA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2010023241) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: KS 04-36702) |
208M00000X Hospitalist (Licence: MO 2010023241) | |
Enumeration Date | 2007-08-07 |
Last Update Date | 2018-01-19 |