NPI | 1235373754 |
---|---|
Former Name | JENNIFER NICHOLE OSBORNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2017-02415) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2017-02415) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2017-02415) | |
Enumeration Date | 2009-04-28 |
Last Update Date | 2022-08-25 |