| NPI | 1871730853 |
|---|---|
| Former Name | JENNIFER DENISE VILLAUME |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: PA SP010132) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2018-12-07 |