| NPI | 1295020071 |
|---|---|
| Former Name | JENNIFER L PRESTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0052632) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX P0489) |
| 207Q00000X Family Medicine (Licence: TX BP10035534) | |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2021-02-28 |