NPI | 1467148379 |
---|---|
Former Name | JENNIFER LYNN WAYNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MN 139819) |
Enumeration Date | 2023-04-13 |
Last Update Date | 2023-04-13 |