| NPI | 1740800846 |
|---|---|
| Former Name | JENNIFER LYNN ZIMOV |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MN 69994) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2021-08-17 |