NPI | 1720332877 |
---|---|
Former Name | VERONICA CERVANTES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209009822) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 209009822) |
Enumeration Date | 2012-10-27 |
Last Update Date | 2022-10-11 |