| NPI | 1558743559 |
|---|---|
| Former Name | JENNIFER MARSHALLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-145728) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125.066307) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2021-12-21 |