| NPI | 1316103542 |
|---|---|
| Former Name | JENNIFER LAONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 003868) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 061785) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2013-02-21 |