| NPI | 1760870299 |
|---|---|
| Former Name | JENNIFER BOHR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD AC002464) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN APN0000019466) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2020-09-25 |