| NPI | 1922554229 |
|---|---|
| Former Name | JULIANA MOURA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 006509) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 340593) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2018-03-26 |