| NPI | 1427014521 |
|---|---|
| Former Name | JENNIFER O'BRIEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: PA sc005663) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC005663) |
| 213ES0131X Podiatrist, Foot Surgery (Licence: PA sc005663) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2021-08-11 |