| NPI | 1881251189 |
|---|---|
| Former Name | JENNIFER LABATO DEMESQUITA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 2021183722) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 112759) |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2022-05-24 |