| NPI | 1144627316 |
|---|---|
| Former Name | JENNIFER L. STANTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: LA AP08191) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN117335) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2019-06-21 |