| NPI | 1275706103 |
|---|---|
| Former Name | JENNIFER ELLEN CAROLINE MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OR 20083004LPN) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2024-05-13 |