| NPI | 1659645158 |
|---|---|
| Former Name | JENNIFER IWUMUNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 305738) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: NY 340820) |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2019-06-12 |