| NPI | 1558751198 |
|---|---|
| Former Name | JENNY ANN SALVE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 6250-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-012264) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2015-02-25 |