| NPI | 1861749517 |
|---|---|
| Other Name | IDONNA MANGUAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 536702111) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 1367699) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2023-03-19 |