| NPI | 1336660737 |
|---|---|
| Former Name | JESSI RAE ENO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: PA SP017784) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: PA SP017784) |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2019-11-04 |