NPI | 1407157811 |
---|---|
Former Name | JENNIFER ANNE SNYDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP11273) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.11956-NP) |
Enumeration Date | 2010-11-16 |
Last Update Date | 2024-04-19 |