| NPI | 1639586209 |
|---|---|
| Former Name | JENNIFER E LUFT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 33665.1808) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WY 336651808) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2019-01-30 |