| NPI | 1215714282 |
|---|---|
| Former Name | JENEA R RUTTINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024187896) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0024187896) |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2023-10-26 |