| NPI | 1033165329 |
|---|---|
| Former Name | JENNIFER ANNE DERR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 200701929) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS011033L) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2015-01-12 |