NPI | 1649934530 |
---|---|
Former Name | JENNIFER VELA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 11367) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 11367-33) |
Enumeration Date | 2021-10-26 |
Last Update Date | 2025-10-10 |