| NPI | 1588289649 |
|---|---|
| Former Name | JENNIFER L MCGORTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: TN 970) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA PL61170089) |
| Enumeration Date | 2020-06-14 |
| Last Update Date | 2024-12-24 |