NPI | 1538784343 |
---|---|
Former Name | JENNY ANNE SPIGNOLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 686831-1) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 686831-1) |
Enumeration Date | 2020-06-08 |
Last Update Date | 2021-05-27 |