| NPI | 1356700496 |
|---|---|
| Former Name | JENNIFER LYNE HELLEBUYCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 77090) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2015043229) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |