| NPI | 1215583976 |
|---|---|
| Former Name | JENNIFER JULIANA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 9592) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 9592-33) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 9592-33) | |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2023-01-16 |