| NPI | 1417518051 |
|---|---|
| Former Name | JENNIE MARIE MCALLISTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382981) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 740381) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-12-09 |