NPI | 1356096531 |
---|---|
Former Name | JENNIFER MARIE SENSKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: DE L1-0049163) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: PA RN651476) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: PA sp023946) | |
Enumeration Date | 2022-02-16 |
Last Update Date | 2022-02-16 |