| NPI | 1205437951 |
|---|---|
| Former Name | JENNIFER RENEE VOSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA C160880) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G161078) |
| Enumeration Date | 2020-11-07 |
| Last Update Date | 2020-11-07 |