| NPI | 1083171540 |
|---|---|
| Former Name | JESSICA ANN BENJOU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: NY L-136972) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 617847-1) |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-02-20 |