| NPI | 1164468476 |
|---|---|
| Former Name | LEONORA M NIEVES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ NJ00122700) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA TP005760C) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2019-05-20 |