| NPI | 1275713091 |
|---|---|
| Former Name | JEANIENE MARIE MARIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 07226) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 280671) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2007-11-08 |