| NPI | 1235627712 |
|---|---|
| Former Name | JAZMINE TAMANIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209017112) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209017112) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2025-11-21 |