NPI | 1558656157 |
---|---|
Former Name | JENNIFER MARIE PRITCHARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 22467) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 168887) |
363LF0000X Nurse Practitioner, Family (Licence: TN 22467) | |
Enumeration Date | 2011-06-13 |
Last Update Date | 2018-03-14 |