NPI | 1952559262 |
---|---|
Former Name | MELANIE TONGSON AGUILO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA NP17396) |
Enumeration Date | 2008-08-29 |
Last Update Date | 2020-02-25 |