NPI | 1053793612 |
---|---|
Former Name | JENNIFER SCHWARZKOPF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IA H125368) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IA H125368) |
Enumeration Date | 2015-06-19 |
Last Update Date | 2015-06-19 |