| NPI | 1740046044 |
|---|---|
| Former Name | JACQUELYN REYNALDO CRUZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R171575) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MD R171575) |
| Enumeration Date | 2024-02-23 |
| Last Update Date | 2024-08-16 |