NPI | 1285157859 |
---|---|
Former Name | JENNIFER ELIZABETH CAMDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71007326A) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IN 28165257A) |
Enumeration Date | 2017-07-25 |
Last Update Date | 2021-12-01 |