| NPI | 1750834057 |
|---|---|
| Former Name | JENNIFER ENZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 7104) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 7104-33) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 141451) | |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2025-09-25 |