| NPI | 1285924043 |
|---|---|
| Former Name | JENNIFER ANN LANDWEHR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SD 9231) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2015-09-02 |