| NPI | 1083273932 |
|---|---|
| Former Name | JENNIFER K RIEKEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 109849) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: OK 109849) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2023-12-19 |