NPI | 1760040612 |
---|---|
Former Name | JENNIFER CALMES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 9266-33) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 677258) |
Enumeration Date | 2019-06-04 |
Last Update Date | 2022-08-01 |