| NPI | 1245638014 |
|---|---|
| Former Name | JENNIFER SOLARES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277-001401) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209012044) |
| 363L00000X Nurse Practitioner (Licence: WI 23137) | |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2024-07-02 |