| NPI | 1528600202 |
|---|---|
| Former Name | JENNY ELIZABETH GARDNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: PA SP020914) |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2022-02-16 |