| NPI | 1003129065 |
|---|---|
| Former Name | JENNIFER LYNN DILUCIANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA.11606-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN277332-COA1) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2011-10-11 |