| NPI | 1225246341 |
|---|---|
| Former Name | JENNIFER M SPENCER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN253211) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: MA RN253211) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-11-10 |