| NPI | 1568112589 |
|---|---|
| Former Name | ROSEANN MELO PEREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209024954) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209024954) |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2024-05-24 |