NPI | 1942933460 |
---|---|
Other Name | ALEXIS DIZON CASILANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95022212) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95153806) |
Enumeration Date | 2022-07-01 |
Last Update Date | 2023-04-20 |