| NPI | 1013362953 |
|---|---|
| Former Name | JASMINE NANEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM MD2023-1298) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A164172) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2023-09-22 |