| NPI | 1457789687 |
|---|---|
| Former Name | ROSA MARIBEL MOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209010841) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A105946) |
| Enumeration Date | 2013-10-25 |
| Last Update Date | 2014-06-27 |