| NPI | 1639302953 |
|---|---|
| Former Name | MARIE MANOUCHKA BELLERICE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA 190413) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA 190413) |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2021-08-27 |