| NPI | 1972164275 |
|---|---|
| Former Name | JENNIFER L REGO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN02117) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2294510) |
| 163W00000X Registered Nurse (Licence: RI RN57335) | |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2023-07-21 |