| NPI | 1356809222 |
|---|---|
| Former Name | JENNIFER MARY D'ANGELO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 8125) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 8125) |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2019-11-06 |