| NPI | 1114110475 |
|---|---|
| Former Name | JENNIFER LEIGH BARRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 13179) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 162664) |
| 163W00000X Registered Nurse (Licence: MS R872962) | |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2010-02-01 |