NPI | 1265868624 |
---|---|
Former Name | JENNIFER LIN DENNISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 5802) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209010700) |
Enumeration Date | 2013-09-17 |
Last Update Date | 2024-02-15 |