| NPI | 1609495027 |
|---|---|
| Former Name | JENNIFER ANN KONOP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 69805) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 30871) |
| 207Q00000X Family Medicine (Licence: MN 69805) | |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2023-08-28 |