| NPI | 1396481008 |
|---|---|
| Former Name | JENNIFER PENTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: TX L-88302) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 740342) |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2022-05-06 |