NPI | 1396085023 |
---|---|
Former Name | JESSICA L JANOFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 6135) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 6135) |
363L00000X Nurse Practitioner (Licence: CT 6135) | |
Enumeration Date | 2013-02-16 |
Last Update Date | 2024-02-14 |