| NPI | 1740717677 |
|---|---|
| Former Name | JENNIFER CATHERINE NERGARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX R8236) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10060357) |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2023-12-01 |