| NPI | 1669890497 |
|---|---|
| Former Name | JENNA ELIZABETH MCKINNIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 61866) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA MD.208060) |
| 207L00000X Anesthesiology (Licence: PA MD466942) | |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2024-02-29 |