| NPI | 1023599107 |
|---|---|
| Former Name | JENNIFER ROMAINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: NY 701898) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: NY 701898) |
| 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: NY 701898) | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: NY 701898) | |
| 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: NY 701898) | |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2021-11-08 |