| NPI | 1326359761 |
|---|---|
| Former Name | JENNIFER M MOEGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: MN 61219) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA R8901) |
| 208000000X Pediatrics (Licence: WA MD60339163) | |
| 208000000X Pediatrics (Licence: SD 9915) | |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2023-10-12 |