| NPI | 1912171885 |
|---|---|
| Former Name | MONIQUE RAQUEL LATORRE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R160232) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MD R160232) |
| 363LF0000X Nurse Practitioner Family (Licence: MD R160232) | |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2023-03-20 |