| NPI | 1427591726 |
|---|---|
| Former Name | RAQUEL VILLARREAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209015299) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041341771) |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2024-01-30 |