| 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 |