| NPI | 1215048111 | 
|---|---|
| Former Name | VERONICA DEL REAL | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209 005256) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041 315138) | 
| Enumeration Date | 2006-08-31 | 
| Last Update Date | 2016-10-27 |