| NPI | 1457342982 |
|---|---|
| Former Name | JACQUELINE BARUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 119372) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 119372) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 002624) | |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2019-03-13 |