| NPI | 1891906228 |
|---|---|
| Former Name | JOYCELLE PAYABYAB CUSTODIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CA NPF 16021) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2018-04-27 |