| NPI | 1609862127 |
|---|---|
| Former Name | JENNIFER DIANE HOLMBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX M1536) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M1536) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX M1536) | |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2015-02-01 |