| NPI | 1194168385 |
|---|---|
| Former Name | JENNIFER GENICE CHRISTIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: MD D82925) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2022-02-28 |