| 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 |