NPI | 1548437999 |
---|---|
Former Name | JENNIFER MEGAN AUDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD H0073463) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2008-05-14 |
Last Update Date | 2015-10-06 |