NPI | 1902531502 |
---|---|
Former Name | DAPHNE D REYLES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R32424) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: ND R32424) |
Enumeration Date | 2022-07-19 |
Last Update Date | 2025-05-14 |