| NPI | 1437631736 |
|---|---|
| Former Name | REBECCA MORENO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018030072) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 5378369) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2025-04-14 |