| NPI | 1194509315 |
|---|---|
| Former Name | LISSETTE TIGREROS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.028262) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: IL 041.472824) |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-09-26 |