| NPI | 1114916285 |
|---|---|
| Former Name | JENNIFER L. HUSEBOE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA J094265) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA H-094265) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2020-11-19 |