| NPI | 1144451014 |
|---|---|
| Former Name | JENNIFER MARIE BUCKMASTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71002991A) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2025-05-17 |