| NPI | 1548974058 |
|---|---|
| Former Name | JACQUELYN PREVITY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: PA RN729156) |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2023-01-09 |