NPI | 1124281845 |
---|---|
Former Name | ANDREA LYNN JENNINGS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 148833) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NC 2012-01470) |
Enumeration Date | 2008-07-02 |
Last Update Date | 2017-09-11 |