| NPI | 1457679300 |
|---|---|
| Former Name | JENNIFER LASHAY RUMPH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MS 25924) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 070420) |
| 208000000X Pediatrics (Licence: AL 32527) | |
| Enumeration Date | 2010-05-16 |
| Last Update Date | 2022-01-17 |