| NPI | 1265880140 |
|---|---|
| Former Name | JENNIFER MICHELLE KREZA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101022728) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2020-02-10 |