| NPI | 1073775961 |
|---|---|
| Former Name | JENNIFER L ENGEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71002864A) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: IN 28157050A) |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: IN 28157050A) | |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2017-06-09 |