| NPI | 1104603364 |
|---|---|
| Former Name | JENNIFER DURAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11028311) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95038498) |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2026-02-16 |