| NPI | 1346623766 |
|---|---|
| Former Name | JACLYN CHRISTINE VENTIMIGLIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704282762) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2015-07-02 |