| NPI | 1407747421 |
|---|---|
| Former Name | SHIME SARSOZA DEQUINA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209.032690) |
| Enumeration Date | 2025-07-09 |
| Last Update Date | 2025-07-09 |