| NPI | 1770077984 |
|---|---|
| Former Name | JENNIFER ANN RANDAZZO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: FL RN9251030) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2022-01-12 |