| NPI | 1194458695 |
|---|---|
| Former Name | JESENIA MARIE NAVEDO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA RN2270253) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: MA RN2270253) |
| Enumeration Date | 2022-07-03 |
| Last Update Date | 2024-11-17 |