| NPI | 1336658624 |
|---|---|
| Former Name | JENNIFER MARIE MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 23443) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: TN 146144) |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2018-03-12 |