| NPI | 1851025514 |
|---|---|
| Former Name | JACQUILYN JACOB QUINTO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1073425) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 888684) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TX 888684) | |
| Enumeration Date | 2022-07-10 |
| Last Update Date | 2024-02-15 |