| NPI | 1023005717 |
|---|---|
| Former Name | JANET ANN JENKIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME120333) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 48806-20) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2021-02-09 |