| NPI | 1659692507 |
|---|---|
| Former Name | JENNIFER M D'SOUZA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0102206333) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS11984) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2021-06-14 |