| NPI | 1164724712 |
|---|---|
| Former Name | JENNIFER LEIGH CHRISTOFFERSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN159235 NP) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-01 |