| NPI | 1316492432 |
|---|---|
| Former Name | JENNIFER BOARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209014527) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209014527) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2025-04-17 |