| NPI | 1194153601 |
|---|---|
| Former Name | JACQUELENE BRONFELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 571828) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 571828) |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2024-01-02 |