| NPI | 1609062124 |
|---|---|
| Former Name | JENNIFER RYAN RICHARDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: MD R173487) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2011-11-03 |