| NPI | 1295071041 |
|---|---|
| Former Name | JENNIFER CHRISTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MO 2013001558) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2013001558) |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2019-05-13 |