| NPI | 1790563708 |
|---|---|
| Former Name | JENNIFER MARTIN/FROISETH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1134803) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 943231) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1134803) | |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2023-11-14 |