NPI | 1659815496 |
---|---|
Former Name | JENNIFER J SHERWOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: CA RE8407) |
Additional Taxonomies | 174400000X Specialist (Licence: CA 8407) |
Enumeration Date | 2016-12-13 |
Last Update Date | 2019-03-22 |