NPI | 1750600300 |
---|---|
Former Name | JESSICA LAURA FITZGERALD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: CT 12.5003) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NJ 26NJ00289000) |
Enumeration Date | 2010-05-21 |
Last Update Date | 2024-12-22 |