| NPI | 1326401621 |
|---|---|
| Former Name | JENA RENE SUSSEX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A152361) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A152361) |
| 208000000X Pediatrics (Licence: CA A152361) | |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2024-04-24 |