NPI | 1235524471 |
---|---|
Former Name | JENNIFER LEE KRANINGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301502899) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL K65543288653) |
Enumeration Date | 2015-04-04 |
Last Update Date | 2021-10-29 |