NPI | 1184657801 |
---|---|
Former Name | JENNIFER LYNNE MARZETTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 042212-23) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9200345) |
Enumeration Date | 2006-07-08 |
Last Update Date | 2024-02-09 |