NPI | 1336641463 |
---|---|
Former Name | JENNIFER DAWN BOHLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11312) |
Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: AZ RN151355) |
Enumeration Date | 2018-03-05 |
Last Update Date | 2022-11-16 |