| NPI | 1821854787 |
|---|---|
| Former Name | ELISABETH JENNETTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11034456) |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2025-03-02 |