| NPI | 1174919781 |
|---|---|
| Former Name | JENNIFER ANNE O'LOUGHLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 67402) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-45354) |
| 207R00000X Internal Medicine (Licence: IA R-10384) | |
| 207R00000X Internal Medicine (Licence: PA MD467372) | |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2021-06-23 |