| NPI | 1356616429 |
|---|---|
| Former Name | JENNIFER LYNN SCHOLWIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: UT 8803510-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 36583) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2018-01-03 |