| NPI | 1336508175 |
|---|---|
| Former Name | CHRISELLE BERNARDO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209018270) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041407233) |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2022-04-07 |