| NPI | 1801275797 |
|---|---|
| Former Name | ANDREA ANTONIETA MORENO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME145759) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2015-05-25 |
| Last Update Date | 2022-03-29 |