NPI | 1417721986 |
---|---|
Former Name | MARA LEANNA KRISTINA ALICDAN PALLERA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 873782) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN80211) |
Enumeration Date | 2023-11-14 |
Last Update Date | 2024-10-02 |