| NPI | 1720068034 |
|---|---|
| Former Name | JENNIFER ANNE WRIGHT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 68191) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036128303) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2021-01-14 |