| NPI | 1518300433 |
|---|---|
| Former Name | JENNIFER ESTHER MCCOOEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 340762) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 543103) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2019-08-08 |