NPI | 1376500660 |
---|---|
Former Name | JENNIFER SNEAD COMPERE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 300301) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 113484) |
Enumeration Date | 2006-04-28 |
Last Update Date | 2022-05-11 |