| NPI | 1760119325 |
|---|---|
| Former Name | JACQUELINE DEANE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2307370) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2307370) |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2025-10-07 |