| NPI | 1003490491 |
|---|---|
| Former Name | JENNA LYNN STURZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MN 72053) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 31692) |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2024-08-06 |