NPI | 1255599254 |
---|---|
Other Name | JENNIFER ALISON TRIPP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: VA 0101272261) |
Additional Taxonomies | 208600000X Surgery (Licence: VA 0101272261) |
2086S0102X Surgery, Surgical Critical Care (Licence: PA MD440708) | |
Enumeration Date | 2008-05-27 |
Last Update Date | 2022-12-05 |