| NPI | 1609445683 |
|---|---|
| Former Name | JENNIFER T YURICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO219691) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OL61165907) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA OL61165907) | |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2024-06-20 |