| NPI | 1598056376 |
|---|---|
| Former Name | JENNIFER DEMOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 03870) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 34.011837) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2020-10-26 |