NPI | 1265725196 |
---|---|
Former Name | JENNIFER MARIE MARLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 1-118391) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AL 1-118391) |
Enumeration Date | 2011-05-25 |
Last Update Date | 2013-08-02 |