| NPI | 1033190574 |
|---|---|
| Former Name | JENNIFER HANLON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 098006694RN FNP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 098006694NP) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2018-02-16 |