NPI | 1801076732 |
---|---|
Former Name | JENNIFER NANCY HEFFERNAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME 125964) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T0677) |
207R00000X Internal Medicine (Licence: VA 0101274089) | |
207R00000X Internal Medicine (Licence: SC 87445) | |
207R00000X Internal Medicine (Licence: IN 01087564A) | |
207R00000X Internal Medicine (Licence: NC 2022-01645) | |
207R00000X Internal Medicine (Licence: MO 2022007449) | |
207R00000X Internal Medicine (Licence: OR MD202494) | |
207R00000X Internal Medicine (Licence: MN 68642) | |
207R00000X Internal Medicine (Licence: WA MD61126080) | |
207R00000X Internal Medicine (Licence: CA A96715) | |
207R00000X Internal Medicine (Licence: WI 74858-20) | |
207R00000X Internal Medicine (Licence: MA 291431) | |
207R00000X Internal Medicine (Licence: CO DR.0065680) | |
Enumeration Date | 2007-11-08 |
Last Update Date | 2023-08-21 |