| NPI | 1942680590 |
|---|---|
| Former Name | JENNA ANNE GONILLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 430910) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 430910) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2023-06-28 |