| NPI | 1760546022 |
|---|---|
| Former Name | SANDRA M MORA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0106X Nurse Practitioner Occupational Health (Licence: IN 71001298A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2007-07-08 |