NPI | 1093351710 |
---|---|
Former Name | JENNIFER ANN DAILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN204730) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN204730) |
Enumeration Date | 2019-11-18 |
Last Update Date | 2022-05-02 |