| NPI | 1801101720 |
|---|---|
| Former Name | EVELYN GRACE ESTRADA NARTATEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036141851) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD449536) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2023-01-13 |