| NPI | 1578020145 |
|---|---|
| Former Name | JENNIE E DERSHOWITZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60929772) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60397671) |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2023-07-18 |