| NPI | 1467792523 |
|---|---|
| Other Name | MARIE BERNICE SANDER-BOLEGO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2012040371) |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2013-02-26 |