| NPI | 1801137351 |
|---|---|
| Former Name | JENNA NIKOLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F430888-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 619019-1) |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2017-04-28 |