| NPI | 1033983713 |
|---|---|
| Former Name | JENNIFER MERCEDES RODRIGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11029672) |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2023-11-13 |