| NPI | 1770196867 |
|---|---|
| Former Name | JESSICA JEAN BONURA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: LA RN145267) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |