NPI | 1649475658 |
---|---|
Former Name | JENNIFER BRYANT HURLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01066766A) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01066766A) |
Enumeration Date | 2007-06-19 |
Last Update Date | 2013-10-01 |