| NPI | 1619405230 |
|---|---|
| Former Name | JENNIFER LORRAINE MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.021505) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RN.397483) |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2022-07-21 |