| NPI | 1326912429 |
|---|---|
| Former Name | JACQUELINE ROSE ENSIGN |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IN 28209597A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 28209597A) |
| Enumeration Date | 2025-10-01 |
| Last Update Date | 2025-10-01 |