| NPI | 1013176262 |
|---|---|
| Former Name | JENNIFER WILDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX N9750) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N9750) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2022-06-09 |