| NPI | 1093057580 |
|---|---|
| Former Name | JENNIFER HALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704344082) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA 276298) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN276298) | |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2022-10-25 |