| NPI | 1275899379 |
|---|---|
| Former Name | JENNA DANIELLE HUMPHREY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: ID M-16996) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NC 2018-00747) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OR MD209888) | |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2024-06-17 |