NPI | 1578386926 |
---|---|
Former Name | EARYL JENN M REYES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 1028435) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: TX 2023103550) |
163W00000X Registered Nurse (Licence: CA 95193325) | |
Enumeration Date | 2024-11-04 |
Last Update Date | 2024-11-04 |