NPI | 1508288911 |
---|---|
Former Name | JENNIFER I ROBINSON( MAIDEN) DEHANEY LPN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 586357-1) |
Enumeration Date | 2014-01-21 |
Last Update Date | 2014-01-21 |