NPI | 1376089425 |
---|---|
Former Name | ADRIEN REYES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60961257) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM R66600) |
363LP2300X Nurse Practitioner Primary Care (Licence: NM CNP-03152) | |
Enumeration Date | 2017-01-13 |
Last Update Date | 2023-11-27 |