| NPI | 1598023541 |
|---|---|
| Former Name | JENIFER MICHELLE NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 35.131400) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.131400) |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2019-11-25 |