NPI | 1942606074 |
---|---|
Former Name | RHODORA MALICDEM ARCILLAPETERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 281949) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2014-11-18 |
Last Update Date | 2016-04-16 |