| NPI | 1255912309 |
|---|---|
| Former Name | JENNA BALSAI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 10450588-4405) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: UT 10450588-4405) | |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2024-05-17 |