| NPI | 1063851863 |
|---|---|
| Former Name | JENNIFER CHRISTINE POTTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other Surgical Technologist (Licence: OK 91275) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2013-06-14 |