| NPI | 1700267689 |
|---|---|
| Former Name | JENNIFER GAYLE MEAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5009081) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5009081) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2019-03-26 |