| NPI | 1043399967 |
|---|---|
| Former Name | JENNIFER ANN HARGIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IL 036138744) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 48920020) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: WI 48920) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2015-10-02 |