NPI | 1275706251 |
---|---|
Former Name | KATE JENNINGS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR 159513) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WV 23881) |
Enumeration Date | 2008-04-10 |
Last Update Date | 2013-02-28 |