| NPI | 1568726792 |
|---|---|
| Former Name | JENNA B. WISSOCKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301101274) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301101274) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2015-09-30 |