| NPI | 1033453303 |
|---|---|
| Former Name | JENNIFER ANN EDWARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: MN 373912) |
| Additional Taxonomies | 2471M2300X Radiologic Technologist Mammography (Licence: MN 373912) |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2012-11-26 |