NPI | 1609848449 |
---|---|
Former Name | JENNIFER ROSE ISNER BAGLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: NJ 25MA10740500) |
Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: NJ D11901100) |
Enumeration Date | 2006-02-06 |
Last Update Date | 2023-08-08 |