| NPI | 1609332188 |
|---|---|
| Former Name | MARIA VERONICA JIMENEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209018455) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.018455) |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2021-12-01 |