| NPI | 1255582599 |
|---|---|
| Former Name | DJENANE THIBAUT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: NJ 26NR13685400) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 523142-1) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F310460-01) | |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2021-10-07 |