| NPI | 1568041291 |
|---|---|
| Former Name | JENNIFER SANDIFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MS 904554) |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2021-04-08 |