| NPI | 1134415086 |
|---|---|
| Former Name | JENNIFER ROSE WERNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN269468) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN26946) |
| 363L00000X Nurse Practitioner (Licence: MA RN269468) | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2011-09-27 |