| NPI | 1871660480 |
|---|---|
| Former Name | JENNIFER MARIE FERETICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 15817) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 591871) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2021-03-08 |