| NPI | 1275971483 |
|---|---|
| Former Name | JENNIFER NICOLE MONDOR-GRISWOLD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: UT 8736262-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID N-43796) |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2021-11-02 |