| NPI | 1316626005 |
|---|---|
| Former Name | JESSICA ROSE STAMBELU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 27913) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 350634) |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2023-07-12 |