| NPI | 1750930079 |
|---|---|
| Former Name | JENNA M LEMENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 9382-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 9382-33) |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2023-12-19 |