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 |