| NPI | 1326799347 |
|---|---|
| Former Name | JENNIFER REYES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 30290) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 30290) |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2023-11-08 |