| NPI | 1093006496 |
|---|---|
| Former Name | JENI ANNE SHULL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01076037A) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: IN 01076037A) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2021-02-22 |