| NPI | 1639787500 |
|---|---|
| Former Name | JENNY MARCELUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11016271) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CT 114093) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 12.009062) | |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2022-05-31 |