| NPI | 1184212128 |
|---|---|
| Former Name | DALEENA JEAN RUPAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209024012) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI AG12200084) |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2021-09-28 |