NPI | 1720314230 |
---|---|
Former Name | JENNIFER R. HOOKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 147886) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 617148) |
363LF0000X Nurse Practitioner, Family (Licence: WI 147886) | |
Enumeration Date | 2009-10-19 |
Last Update Date | 2020-09-16 |