| NPI | 1841901659 |
|---|---|
| Former Name | MARIA ISABLELLE ROLDAN DE LEON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: NC F11220018) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F11220018) |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2023-04-04 |