| NPI | 1750077095 |
|---|---|
| Former Name | JENNIFER STAEGLICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 02009112A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2026-07-01 |