| NPI | 1659699726 |
|---|---|
| Former Name | JENNIFER ELAINE PETITTO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MS 32478) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: LA 206022) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2023-12-01 |