| NPI | 1710939814 |
|---|---|
| Other Name | JENNIFER ELLEN CARLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VT 042-0011786) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 5758864-1205) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: UT 5758864-1205) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2009-06-17 |