NPI | 1902496656 |
---|---|
Former Name | JESSI LYN FROEBEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: VT 026.0095693) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN-TEMP3816) |
163W00000X Registered Nurse (Licence: NH 082322-21) | |
163W00000X Registered Nurse (Licence: CT 176787) | |
163W00000X Registered Nurse (Licence: NY 808927) | |
Enumeration Date | 2021-01-26 |
Last Update Date | 2021-01-27 |