| NPI | 1326592999 |
|---|---|
| Former Name | JENNIFER IRIS SIEGEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT C102012001039) |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2016-08-11 |