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 |