NPI | 1326365149 |
---|---|
Former Name | JENNIFER L. PETER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 136903) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 136903) |
Enumeration Date | 2010-05-04 |
Last Update Date | 2010-05-04 |