| NPI | 1205630357 |
|---|---|
| Former Name | JENNIFER ATHANASSIOU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11038494) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: FL RN9430416) |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2025-07-09 |