| NPI | 1265072433 |
|---|---|
| Former Name | JENNIFER LYNE VACCARO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 111907) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WV 94111) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: PA RN714741) | |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2022-12-19 |