| NPI | 1407347537 |
|---|---|
| Former Name | ADRIANA REYES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0001046) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO C-APN.0001046-C-NP) |
| 363L00000X Nurse Practitioner (Licence: TN F02180544) | |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-07-09 |