| NPI | 1205213147 | 
|---|---|
| Former Name | JENNIFER JORDAN YOUNG | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TN 58924)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 58924)  | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-29 | 
| Last Update Date | 2022-03-18 |