NPI | 1851784359 |
---|---|
Former Name | KRISCHELLE PASCUAL PANGANIBAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.17028) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.17028-NP) |
363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.17028) | |
Enumeration Date | 2015-03-09 |
Last Update Date | 2021-03-22 |