| NPI | 1588780795 |
|---|---|
| Former Name | JENESS MICHELE CONNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036.119017) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301081592) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2021-12-20 |