NPI | 1902089188 |
---|---|
Former Name | JENNIFER ANNE PALERMO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 345233) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP05232) |
Enumeration Date | 2007-12-11 |
Last Update Date | 2020-01-14 |