| NPI | 1326300344 |
|---|---|
| Former Name | JENNIFER CAROLYN KUNKEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NC 2018-01687) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL34889) |
| 208000000X Pediatrics (Licence: SC 34889) | |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2019-06-06 |