| NPI | 1366119653 |
|---|---|
| Former Name | TATIYANA JENNINGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA GAA-NP000384) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 3016575) |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2022-02-11 |