| NPI | 1831974948 |
|---|---|
| Former Name | JENNIFER ELIZABETH IGOE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2293733) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 088823-23) |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2023-08-28 |