| NPI | 1104461672 |
|---|---|
| Former Name | JENNIFER LYNN LIBBY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ RN156347) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: AZ RN156347) |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2019-11-08 |