NPI | 1669522033 |
---|---|
Former Name | JENNIFER MARJORIE EMOND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA 204681) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11034454) |
Enumeration Date | 2007-01-10 |
Last Update Date | 2024-10-16 |