| NPI | 1588008619 |
|---|---|
| Former Name | JENNIFER TIAMESE YANCEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 077957) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2022-03-08 |