| 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 | 2024-02-08 |