| NPI | 1386475515 |
|---|---|
| Former Name | JENNIFER JANE FITZPATRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209030569) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.423394) |
| Enumeration Date | 2024-08-09 |
| Last Update Date | 2024-10-08 |