NPI | 1780963934 |
---|---|
Former Name | JENNIFER LYNN ALAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN00275) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2263972) |
Enumeration Date | 2011-08-05 |
Last Update Date | 2016-03-24 |