| NPI | 1649686916 |
|---|---|
| Former Name | GLENDA LIMOS CORDERO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-011677) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 041297029) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2021-05-05 |