| NPI | 1578187217 |
|---|---|
| Former Name | JENNIFER RENCICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 71015479A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.021197) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: IL 209.021197) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: WI 10293) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: IL 209.021197) | |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2024-12-11 |