| NPI | 1427511997 |
|---|---|
| Former Name | JENNIFER ELIZABETH MACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD61204488) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA ML60955410) |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2023-09-11 |