| NPI | 1053046953 |
|---|---|
| Former Name | JENINA MARIE MESINA DEL CAMPO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95021161) |
| Enumeration Date | 2022-07-24 |
| Last Update Date | 2024-05-09 |