| NPI | 1205566783 |
|---|---|
| Former Name | JENNIFER ELYSE JANOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.0031049) |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2023-10-25 |