NPI | 1235552969 |
---|---|
Former Name | JENNIFER REYES VALDES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11008782) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11008782) |
Enumeration Date | 2014-01-31 |
Last Update Date | 2022-11-02 |