| NPI | 1427043983 |
|---|---|
| Former Name | JENNIFER TRICIA BROLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA 180459) |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2015-12-23 |