| NPI | 1487383774 |
|---|---|
| Former Name | MONICA M ESTRADA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.029597) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 163W00000X Registered Nurse (Licence: IL 041442780) | |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2024-09-18 |