| NPI | 1801586235 |
|---|---|
| Former Name | JESSICA MAE DONDERO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0998637) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO RXN.0107768-NP) |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2023-05-09 |