NPI | 1083192926 |
---|---|
Former Name | JENNIFER ANNE HIVNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP018966) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP018966) |
163W00000X Registered Nurse (Licence: PA RN620116) | |
Enumeration Date | 2018-08-02 |
Last Update Date | 2020-06-09 |