| NPI | 1114270428 |
|---|---|
| Former Name | JENNIFER REBECCA ROSE RICO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: OK 99456) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 99456) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2021-01-27 |