| NPI | 1184748212 |
|---|---|
| Former Name | JENNIFER LYNN DELA PENA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: NV 12653) |
| Additional Taxonomies | 208600000X Surgery (Licence: NV 12653) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2018-02-27 |