NPI | 1245070333 |
---|---|
Former Name | JENNIFER GAIL BAHN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 772486) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2511407) |
163W00000X Registered Nurse (Licence: CA 95281324) | |
Enumeration Date | 2024-05-28 |
Last Update Date | 2024-05-28 |