NPI | 1033593322 |
---|---|
Former Name | JENNIFER PARDEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9311174) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 10662) |
Enumeration Date | 2015-07-16 |
Last Update Date | 2023-06-21 |