| NPI | 1013946334 |
|---|---|
| Former Name | JENNIFER LYNN GEORGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101263981) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME71514) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2021-06-09 |