| NPI | 1740210210 |
|---|---|
| Former Name | JENNIFER LYNN SUNDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: PA SC004171L) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NJ 25MD00233300) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2012-08-30 |