| NPI | 1376033498 |
|---|---|
| Former Name | JENNIFER WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 218041) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN133530) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2022-08-31 |