| NPI | 1881142115 |
|---|---|
| Former Name | IVORY VILLANUEVA FULGENCIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704260314) |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2023-05-10 |