| NPI | 1104045848 |
|---|---|
| Former Name | JENNIFER ELSETA THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY f340665-1) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2013-05-16 |