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 |