NPI | 1912177619 |
---|---|
Former Name | JENNIFER ANN LAGUARDIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH NP-09616) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN 315811) |
Enumeration Date | 2008-03-10 |
Last Update Date | 2021-03-18 |