| NPI | 1508491713 |
|---|---|
| Former Name | PERLA CECILIA CASTRO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209016487) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 209.016487) |
| Enumeration Date | 2020-03-08 |
| Last Update Date | 2023-08-17 |