NPI | 1104156264 |
---|---|
Former Name | JENNIFER MICHELLE WRIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-076553) |
Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: AL 1-076553) |
Enumeration Date | 2010-01-12 |
Last Update Date | 2013-06-11 |