| NPI | 1376735589 |
|---|---|
| Former Name | JENNIFER COMBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TN 12561) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: AL 1-119632) |
| Enumeration Date | 2007-08-11 |
| Last Update Date | 2018-07-10 |