| NPI | 1104103399 |
|---|---|
| Former Name | JACINDA ANN CROISSANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95021915) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CO 195879) |
| 163WH0500X Registered Nurse, Hemodialysis (Licence: CA 95021915) | |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2015-03-18 |