| NPI | 1326660978 |
|---|---|
| Former Name | JACKIE FILIDES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL 646848) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: FL RN9304259) |
| Enumeration Date | 2020-05-16 |
| Last Update Date | 2020-10-29 |