| NPI | 1053471342 |
|---|---|
| Former Name | JENNIFER ANN REILLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IL 036114949) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX N3613) |
| Enumeration Date | 2006-12-09 |
| Last Update Date | 2010-11-28 |