| NPI | 1043086051 |
|---|---|
| Former Name | JENNIFER COLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: PA SP027578) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: PA SP027578) |
| Enumeration Date | 2023-11-30 |
| Last Update Date | 2023-11-30 |