NPI | 1245209824 |
---|---|
Former Name | JENNIFER L HAHN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 200450070NP) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NH 073601-23) |
363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN01533) | |
Enumeration Date | 2006-03-16 |
Last Update Date | 2018-09-13 |