| NPI | 1437458114 |
|---|---|
| Former Name | JENNA NICOLE GINGERICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01073708A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 47001) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2023-02-09 |