| NPI | 1811172836 |
|---|---|
| Former Name | JAZZCELYN GOMEZ LOLENG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MO 2018022344) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist Family Health (Licence: IL 209006430) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2024-08-21 |