| NPI | 1689977027 |
|---|---|
| Former Name | JENNIFER MICHELLE NIEVAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: LA AP08570) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R879835) |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2016-11-14 |