| NPI | 1609544907 |
|---|---|
| Former Name | JENNIFER LYNN RITZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71011580A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28234289A) |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2024-06-06 |